Knowledge I seek because culture doesn’t work anymore … It doesn’t work, death comes : the experiences of third-generation female caregivers (gogos) in South Africa discussing sex, sexuality and HIV and AIDS with children in their care

dc.contributor.authorSimmonds, Jane E.en_ZA
dc.contributor.authorParry, Charles D. H.en_ZA
dc.contributor.authorAbdullah, Fareeden_ZA
dc.contributor.authorBurnhams, Nadine H.en_ZA
dc.contributor.authorChristofides, Nicolaen_ZA
dc.date.issued2021-03-09
dc.descriptionCITATION: Simmonds, J. E., et. al. 2021. Knowledge I seek because culture doesn’t work anymore … It doesn’t work, death comes : the experiences of third-generation female caregivers (gogos) in South Africa discussing sex, sexuality and HIV and AIDS with children in their care. BMC Public Health, 21:470, doi:10.1186/s12889-021-10494-5.
dc.descriptionThe original publication is available at https://bmcpublichealth.biomedcentral.com
dc.description.abstractBackground: Sexual reproductive health communication between parents and children has been shown to promote safer sexual choices. In many South African households, third-generation female caregivers, often grandmothers or other older females, locally known as gogos, are primary caregivers of children due to parents being deceased or absent. Subsequently, the responsibility of talking about sex and related issues has shifted to these gogos. This study explored the experiences of gogos living in Alexandra, Johannesburg on talking about sex, sexuality and HIV and AIDS with children aged 10–18 years that are in their care. Methods: Ten primary caregivers were purposively selected. Data were collected through in-depth individual interviews. Thematic analysis was performed and inductive codes and themes identified. Results: All gogos selected found it difficult to discuss sex, sexuality and HIV and AIDS due to culture and traditional values impacting on personal experiences as well as generation and gender barriers. Perceived low selfefficacy due to low levels of knowledge and limited skills in speaking about sex, sexuality and HIV and AIDS also contributed to low levels of sexual reproductive health communication. Conclusions: This study highlights the need for interventions that focus on improving gogos’ knowledge about sexual reproductive health in addition to providing them with the skills to talk about sex, sexuality and HIV and AIDS with children in their care.
dc.description.urihttps://bmcpregnancychildbirth.biomedcentral.com/articles/10.1186/s12884-021-03701-z
dc.description.versionPublisher's version
dc.format.extent9 pages
dc.identifier.citationSimmonds, J. E., et. al. 2021. Knowledge I seek because culture doesn’t work anymore … It doesn’t work, death comes : the experiences of third-generation female caregivers (gogos) in South Africa discussing sex, sexuality and HIV and AIDS with children in their care. BMC Public Health, 21:470, doi:10.1186/s12889-021-10494-5
dc.identifier.issn1471-2458 (online)
dc.identifier.otherdoi:10.1186/s12889-021-10494-5
dc.identifier.urihttp://hdl.handle.net/10019.1/110401
dc.language.isoen_ZAen_ZA
dc.publisherBMC (part of Springer Nature)
dc.rights.holderAuthors retain copyright
dc.subjectSex instruction -- Grandmother participation -- Alexandra (Johannesburg, South Africa)
dc.subjectHealth education -- Grandmother participation -- Alexandra (Johannesburg, South Africa)en_ZA
dc.subjectGrandparent and child -- Health aspects -- Alexandra (Johannesburg, South Africa)en_ZA
dc.subjectHIV (Viruses) -- Alexandra (Johannesburg, South Africa)en_ZA
dc.subjectAIDS (Disease) -- Alexandra (Johannesburg, South Africa)en_ZA
dc.subjectCaregivers -- Attitudes -- Alexandra (Johannesburg, South Africa)en_ZA
dc.titleKnowledge I seek because culture doesn’t work anymore … It doesn’t work, death comes : the experiences of third-generation female caregivers (gogos) in South Africa discussing sex, sexuality and HIV and AIDS with children in their careen_ZA
dc.typeArticle
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